person
Jaisiri Jaiwatana, MD
Specialist in Jackson, Mississippi
NPI 1295760049

Jaisiri Jaiwatana is a Specialist based in Jackson, MS. Jaisiri Jaiwatana practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Jaisiri Jaiwatana is 1295760049 and holds a License No. MD9250 (Mississippi).

The current practice location address for Jaisiri Jaiwatana is 1500 E. Woodrow Wilson Drive, Jackson, MS and can be reached out via phone at 601-362-4471 and via fax at 601-364-1588. You can also correspond with Jaisiri Jaiwatana through the mailing address at 1500 E. WOODROW WILSON DRIVE, JACKSON, MS - 39216-5199 (mailing address contact number: 601-362-4471).

Location: 1500 E. Woodrow Wilson Drive, Jackson, MS, 39216-5199
person
Provider Profile Details
NPI Number
1295760049
Provider Name
Jaisiri Jaiwatana
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 E. Woodrow Wilson Drive, Jackson, MS, 39216-5199
Phone Number
601-362-4471
Fax Number
601-364-1588
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 E. Woodrow Wilson Drive
City
State
Zip
39216-5199
Phone Number
601-362-4471
Fax Number
601-364-1588
person
Provider Business Mailing Address Details
Address
1500 E. Woodrow Wilson Drive
City
State
Zip
39216-5199
Phone Number
601-362-4471
Fax Number
601-364-1588
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD9250 (District of Columbia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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